Houssem Harbi
1*, Amine Chaabouni
1, Rim Kallel
2, Nozha Toumi
3, Sami Fendri
1, Jihene Krichene
1, Salah Boujelbene
1, Rafik Mzali
11 Department of General Surgery, Habib Bourguiba Hospital of Sfax, Sfax, Tunisia
2 Anatomo-pathology Department, Habib Bourguiba Hospital of Sfax, Sfax, Tunisia
3 Radiology Department, Habib Bourguiba Hospital of Sfax, Sfax, Tunisia
*Corresponding Author: *Corresponding Author: Houssem Harbi, MD; Avenue Leopold Singhor Imm Saltene Azur Sousse, Tunisia. Tel: +216 97 553 107; +216 58 127 423, Email: , Email:
houcem_harbi@hotmail.fr
Abstract
Isolated macro-nodular liver tuberculosis is a very rare condition. It may mimic primitive or secondary tumors of the liver. This
could delay or mislead the therapeutic management. An immunocompetent 48-year-old man with a history of non-metastatic
seminoma was treated with right orchidectomy followed by 20 Gy radiotherapy. The discovery, 8 months later, of a 2 cm nodule
of the hepatic dome evoked a liver metastasis. Percutaneous biopsy was not feasible. Wedge resection was performed whereas
medical treatment would have sufficed, as pathologic examination of the resected specimen showed a macro-nodular hepatic
tuberculosis. The patient received anti-tuberculosis drugs for 9 months. The diagnosis of isolated macro-nodular liver tuberculosis is
frequently misleading, particularly in immunocompetent and paucisymptomatic patients. Thus percutaneous biopsy is mandatory
for diagnosis and also prior to any major surgeries.